Approach to ECGs

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Interesting Cases from UMMC (2024 – Part I/III)

A 63-year-old man presents to the emergency department with acute chest pain and an episode of syncope. The following ECG is obtained, and the cath lab is activated for suspected…

Differential Diagnoses: ST segment elevation in a patient with altered mental status, a stepwise approach

A 60-year-old man with PMHx of pancreatic cancer and prior cerebrovascular accidents presents to the ED with altered mental status. Family is concerned that his symptoms are similar to prior…

STAT ECG Diagnoses: a safe approach to the evaluation of patients with diffuse ST segment elevation

A 24-year-old woman presents to the emergency department with acute chest pain and shortness of breath. Pain is described as progressively worsening substernal chest pressure. She has a history of…

STAT ECG Diagnoses: how to approach and tackle tough dysrhythmias

A 91-year-old woman presents to the emergency department reporting that she is just not feeling well. She is noted to have an irregular rhythm. The following ECG is obtained and…

AV Block Bootcamp (Episode 1/3): differential diagnoses for non-conducted P waves, what you need to know to clinch the diagnosis!

A 78-year-old female presents to the ED with lightheadedness and bradycardia. The following ECG is obtained:

ECG Basics and Fundamentals: A stepwise approach to ECG interpretation and how to use differential diagnoses to make critical clinical diagnoses

A 40-year-old man presents to the ED with altered mental status and appears critically ill. The following ECG is obtained:

Stepwise approach to ECG interpretation: systematic rhythm interpretation in a case of syncope

A 76-year-old male presents to the emergency department after an episode of syncope. He denies a prodrome and has no focal neurological complaints or findings. The following ECG was obtained:

Differential Diagnoses: a 5 step approach to comprehensive ECG interpretation

A 46-year-old man presents to the ED with generalized weakness and body aches. He is noted to have normal vital signs. The following ECG is obtained:

ECG Basics & Fundamentals: A systematic approach to EGC interpretation and using differentials for ST segment elevation

A 61-year-old man presents to the ED with malaise, nausea and lightheadedness. The following ECG is obtained:

ECG Basics & Fundamentals: using a systematic approach to identify the cause of ST segment elevation

A 49-year-old man presents to the ED with nausea, lightheadedness, arthralgias and malaise. He appears dehydrated but has an otherwise normal exam. The following ECG is obtained:

ECG Basics & Fundamentals: a 5 step approach to ECG interpretation and how to think of differential diagnoses

HPI: A 70-year-old man presents with generalized malaise. He has a history of ESRD and has missed dialysis this week. The following ECG is obtained: Case ECG   Before watching…

Rhythm Interpretation: a three-step approach to diagnosing AV blocks

HPI:  A 54-year-old woman with PMHx of cardiomyopathy is referred to the ED by her cardiologist who is concerned about an “arrhythmia”. Case ECG   Before watching this week’s video,…

ECG Basics & Fundamentals: a systemactic approach to ECG interpretation

HPI:  A 78-year-old male presents to the ED complaining of generalized weakness. Case ECG

ECG Basics & Fundamentals: A stepwise approach to ECG interpretation in patients with chest pain and clinical concern for an acute coronary syndrome (ACS) with pearls and pitfalls in obtaining chest pain histories

HPI: 61 year old male with significant cardiac risk factors presents with chest pain that that radiates down both arms. The pain is exertional and improves with rest. His pain…

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